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Business segment information (Tables)

12 Months Ended

Dec. 31, 2013

Segment Reporting [Abstract]

Schedule of External Net Sales by GBU Reporting Segment

External Net Sales by SBU:

The table below presents external net sales for continuing operations by SBU reporting segment. Net sales include product sales and marketing service fees.

		External Net Sales by SBU Year ended December 31,
(U.S. Dollars in thousands)		2013								2012								2011
		Net Sales				Percent of Total Net Sales				Net Sales				Percent of Total Net Sales				Net Sales				Percent of Total Net Sales
										(Restated)				(Restated)				(Restated)				(Restated)
BioStim		$	147,910				37	%		$	181,959				41	%		$	188,136				43	%
Biologics			53,769				13	%			53,730				12	%			42,919				10	%
Extremity Fixation			103,385				26	%			112,009				25	%			119,521				27	%
Spine Fixation			95,470				24	%			99,883				22	%			91,395				20	%
Total Net Sales		$	400,534				100	%		$	447,581				100	%		$	441,971				100	%

Summary of Net Margin, Defined as Gross Profit Less Sales And Marketing Expenses from Continuing Operations by SBU Reporting Segment

The table below presents net margin, defined as gross profit less sales and marketing expenses from continuing operations by SBU reporting segment:

Net Margin by SBU (U.S. Dollars in thousands)		Year Ended December 31,
		2013				2012				2011
						(Restated)				(Restated)
Net Margin
BioStim		$	64,930			$	86,654			$	93,056
Biologics			24,532				23,559				18,979
Extremity Fixation			26,389				34,337				29,530
Spine Fixation			7,245				19,142				13,068
Corporate			(1,443	)			(1,495	)			(1,700	)
Total net margin		$	121,653			$	162,197			$	152,933
General & administrative			65,147				53,391				64,481
Research and development			26,768				28,577				22,861
Amortization of intangible assets			2,687				2,298				2,550
Costs related to the accounting review and restatement			12,945				—				—
Impairment of goodwill			19,193				—				—
Charges related to U.S. Government resolutions			—				1,295				57,141
Operating (loss) income		$	(5,087	)		$	76,636			$	5,900

Schedule of Depreciation and Amortization by GBU Reporting Segment

The following table presents depreciation and amortization for continuing operations by SBU reporting segment:

		Depreciation and amortization by SBU Year Ended December 31,
(U.S. Dollars in thousands)		2013				2012				2011
						(Restated)				(Restated)
BioStim		$	1,946			$	1,584			$	2,033
Biologics			628				543				415
Extremity Fixation			7,195				5,196				5,148
Spine Fixation			12,794				10,752				9,211
Corporate			96				70				53
Total		$	22,659			$	18,145			$	16,860

Summary of Net Sales by Geographic Destination

The following geographic data includes net sales by geographic destination:

(U.S. Dollars in thousands)		2013				2012				2011
						(Restated)				(Restated)
U.S.		$	295,857			$	334,624			$	328,585
International:
U.K.			10,002				8,431				8,206
Italy			16,755				18,742				17,447
Brazil			26,786				31,166				34,424
Other			51,134				54,618				53,309
Total international			104,677				112,957				113,386
Total net sales		$	400,534			$	447,581			$	441,971

Analysis of Property, Plant and Equipment of Reporting Segments by Geographic Area

Analysis of property, plant and equipment by geographic area:

(U.S. Dollars in thousands)		2013				2012
						(Restated)
U.S.		$	39,858			$	39,554
Italy			7,813				7,617
U.K.			1,871				1,402
Brazil			3,210				3,421
Others			1,854				1,841
Total		$	54,606			$	53,835

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